Evidence map›Paper›PMID 31606801›Full record

GuidelineTechniques in coloproctology2019

Italian guidelines for the surgical management of enteral stomas in adults.

F Ferrara, D Parini, A Bondurri, M Veltri, M Barbierato, F Pata, F Cattaneo, A Tafuri, C Forni, G Roveron and 2 more

Registry-linked trialAbstract readPractice GuidelineSystematic Review
PubMed Publisher
In one paragraph

Guideline in Techniques in coloproctology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06824623 (Multicenter Prospective Observational Study to Prevent the Risk of REadmission and DEhydration of Patients With ileoSTOmy in Elective Colorectal Surgery), which is not on this map. Cited by 26 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06824623 recruitingnot on this mapstarted 2025, after this paper: background citation

Multicenter Prospective Observational Study to Prevent the Risk of REadmission and DEhydration of Patients With ileoSTOmy in Elective Colorectal Surgery

Typeobservational_patient_registrySponsorMultidisciplinary Italian Study group for STOmas (MISSTO)Ran2025 to 2026Enrolled300ConditionsIleostomy - Stoma, Colorectal Surgery, Dehydration
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Outcomes of surgical techniques for parastomal hernia repair: a bayesian network meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

F FerraraDepartment of Surgery, San Carlo Borromeo Hospital, ASST Santi Paolo e Carlo, Via Pio II n.3, 20153, Milan, Italy. frr.fra@gmail.com.ORCID http://orcid.org/0000-0002-8208-1945
D PariniGeneral Surgery Unit, Santa Maria della Misericordia Hospital, Rovigo, Italy.
A BondurriDepartment of General Surgery, Luigi Sacco University Hospital, ASST FBF-Sacco, Milan, Italy.
M VeltriGeneral Surgery Unit, San Jacopo Hospital, Pistoia, Italy.
M BarbieratoOstomy Centre, Azienda Ospedaliera di Padova, Padua, Italy.
F PataGeneral Surgery Unit, Nicola Giannettasio Hospital, Corigliano-Rossano, Italy.
F CattaneoDepartment of Oncological and Surgical Sciences, Urology Clinic, University of Padova, Padova, Italy.
A TafuriDepartment of Urology, University of Verona, Azienda Ospedaliera Universitaria Integrata Verona, Verona, Italy.
C ForniNursing and Allied Profession Research Unit, IRCCS, Istituto Ortopedico Rizzoli, Bologna, Italy.
G RoveronOstomy and Pelvic Floor Rehabilitation Centre, S. Maria Della Misericordia Hospital, Rovigo, Italy.
G RizzoDepartment of Surgery, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
Multidisciplinary Italian Study group for STOmas (MISSTO)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWorldwide, stomas represent a medical and social problem. Data from the literature on stoma management are extensive but not homogeneous. In Italy, no guidelines exist for this topic. Thus, clear and comprehensive clinical guidelines based on evidence-based data and best practice are need. In 2018, the Multidisciplinary Italian Study group for STOmas, called MISSTO, was founded. The aim was to elaborate guidelines for practice management of enteral and urinary stomas in adults.

methodsA systematic review of the literature was performed using PubMed, National Guideline Clearinghouse, and other databases. The research included guidelines, systematic reviews, meta-analyses, randomized clinical trials, cohort studies, and case reports. Five main topics were identified: "stoma preparation", "stoma creation", "stoma complications", "stoma care", and "stoma reversal". The systematic review was performed for each topic, and studies were evaluated according to the GRADE system, AGREE II tool.

resultsRecommendations were elaborated in the form of statements with an established grade of recommendation for each statement. For low levels of scientific evidence statements, a consensus conference composed of expert members of the major Italian scientific societies in the field of stoma management and care was held. After discussing, correcting, validating, or eliminating the statements by the experts, the final version of the guidelines was elaborated and prepared for publication. This manuscript is focused on statements on the surgical management of enteral stomas.

conclusionsThese guidelines are the first Italian guidelines on multidisciplinary management of enteral stomas with the aim of assisting surgeons during stoma management and care.

Indexed as

Surgical StomasAdultColostomyEnterostomyEvidence-Based MedicineHernia, AbdominalHumansIleostomyInformed ConsentItalyPatient Education as TopicProlapseColostomyEnterostomyIleostomyOstomyStomaSurgery

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.